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新型冠状病毒肺炎感染后肾血管平滑肌脂肪瘤破裂:一例报告

Renal Angiomyolipoma Rupture Following COVID-19 Infection: A Case Report.

作者信息

Abdurabu Mohammed, Al-Warqi Akram, Ebrahim Ebrahim M, Mirza Salman, Kolleri Jouhar

机构信息

Emergency Medicine, Hamad Medical Corporation, Doha, QAT.

Radiology, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2023 Jul 11;15(7):e41734. doi: 10.7759/cureus.41734. eCollection 2023 Jul.

Abstract

The novel Coronavirus (COVID-19) is one of the most recent Pandemics that invaded the earth and is still active. It caused and is still causing hundreds of thousands of patients high morbidity and mortality rates, with no definitive cure at this moment. COVID-19 has been proven to be associated with pathologic changes in coagulation, characterized by either thromboembolic or bleeding events. We describe this case of a 44-year-old male patient who walked into our emergency department with flank pain and was later discovered to have had renal angiomyolipoma (AML) rupture during his COVID-19 infection, ultimately requiring admission for hemorrhage control via interventional radiology (IR) drainage. Here, we discuss the role of front-line physicians and how they should keep a low threshold for the different presentations that could be associated with COVID-19 infection, such as what was found in this case.

摘要

新型冠状病毒(COVID-19)是侵袭地球的最新大流行病之一,目前仍在肆虐。它已经并仍在导致数十万患者出现高发病率和死亡率,目前尚无确切的治愈方法。事实证明,COVID-19与凝血病理变化有关,其特征为血栓栓塞或出血事件。我们描述了一名44岁男性患者的病例,该患者因侧腹痛走进我们的急诊科,后来发现他在感染COVID-19期间发生了肾血管平滑肌脂肪瘤(AML)破裂,最终需要通过介入放射学(IR)引流进行出血控制并入院治疗。在此,我们讨论一线医生的作用,以及他们应如何对可能与COVID-19感染相关的不同临床表现保持较低的阈值,就像本病例中所发现的那样。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecb/10415169/dc712a55a06b/cureus-0015-00000041734-i01.jpg

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